Kingsley Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

64 Issued in IA

Legal business name

KINGSLEY PHARMACY, INC

Practice address

7 West 2ND St
Kingsley, IA 51028

Phone

(712) 378-2700

Fax

(712) 378-3692

NPI assigned

Jan 4, 2007

Last updated

Aug 23, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donita Green

Title

President

Phone

(712) 378-2700

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1467509307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WEST 2ND ST",
            "address_2": "PO BOX 280",
            "city": "KINGSLEY",
            "state": "IA",
            "postal_code": "51028",
            "telephone_number": "712-378-2700",
            "fax_number": "712-378-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WEST 2ND ST",
            "city": "KINGSLEY",
            "state": "IA",
            "postal_code": "51028",
            "telephone_number": "712-378-2700",
            "fax_number": "712-378-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSLEY PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DONITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-378-2700"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "64",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0242206",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Ann Howe, PHARMD
• Iowa Physicians Clinic Medical Foundation (Unitypoint Clinic Family Medicine - Kingsley)
• Karl & Sara Koelling DDS, P.C. (Kingsley Dental Clinic)
• Kingsley Drug Inc (Kingsley Drug)
• Kingsley Drug Inc LTC (Kingsley Drug)
• Kingsley Vision Center PC
• Kingsley-Pierson Community School District
• Jala Jean Kischer, NP-C
• Karl Duane Koelling, D.D.S.
• Sara Margaret Koelling, D.D.S.

• Community/Retail Pharmacy in Kingsley, IA
• Providers in Kingsley, IA by specialty
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.